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2020 | 14 | 1 |

Tytuł artykułu

Physiotherapeutic management of a patient after craniocerebral trauma in the intensive care unit - case report

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Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: Craniocerebral injuries are one of the most common causes of mortality and disability in Poland. The treatment of patients who are in an intensive care unit is based primarily on stabilizing the patient’s general condition as well as basic duties according to the patient’s functioning. Aim of the study: The aim of this study is to demonstrate the importance of early rehabilitation and the role of physiotherapy in recovery after craniocerebral trauma. Case report: The subject was an 18-year-old patient who suffered craniocerebral trauma as a result of a road accident. After losing consciousness, he was in the intensive care unit, where he was placed on a medical ventilator. A properly selected physiotherapeutic procedure was performed. Passive exercises, contracture correction and appropriate positioning were used. To prevent pressure sores, anti-bedsore prophylaxis was implemented. Respiratory therapy played a key role. The goal of respiratory physiotherapy was to improve respiratory function by maintaining proper lung ventilation, increasing chest and diaphragm mobility along with maintaining the efficiency of respiratory muscles, as well as stimulating effective coughing and evacuation of secretions. The NDT-Bobath concept was used as therapy for spastic tension. The goal of the therapy was to get rid of pathological movement patterns and replace them with physiological patterns. The PNF method, classical and lymphatic massage, polysensory stimulation and music therapy were also used. Conclusions: Early and comprehensive rehabilitation in a patient after craniocerebral trauma is extremely important and determines therapeutic effectiveness. Comprehensive therapy and care are able to prevent a number of complications that threaten the patient as a result of immobilization.

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-

Rocznik

Tom

14

Numer

1

Opis fizyczny

p.40-46,fig.,ref.

Twórcy

autor
  • Opole Medical School, Opole, Poland
  • Opole Medical School, Opole, Poland

Bibliografia

  • 1. Kaźmierczak K, Majchrzycki M, Stryła W. Rozkład zaleconych zabiegów w rehabilitacji pacjentów po urazie czaszkowo-mózgowym w zależności od stopnia urazu wg Glasgow Coma Scale. Now Lek 2011; 80(4): 288–294. (In Polish).
  • 2. Radek A, Radek M. Urazy czaszkowo-mózgowe. Neurol Dypl 2016; 1: 8-13. (In Polish).
  • 3. Çakmak A, İnce Dİ, Sağlam M, Savcı S, Yağlı NV, Kütükcü EÇ, et al. Physiotherapy and rehabilitation implementation in intensive care units: a survey study. Turk Thorac J 2019; 20(2): 114–119.
  • 4. Kwiecień-Jaguś K, Zwoliński T, Szamotulska J, HansdorferKorzon R. Wczesna rehabilitacja na oddziale intensywnej terapii z wykorzystaniem metody PNF. Anest Ratow 2016; 10: 86–96. (In Polish).
  • 5. Monti MM, Vanhaudenhuyse A, Coleman MR, Boly M, Pickard JD, Tshibanda L, et al. Willful modulation of brain activity in disorders of consciousness. N Eng J Med 2010; 362: 579–589.
  • 6. Corner EJ, Murray EJ, Brett SJ. Qualitative, grounded theory exploration of patients’ experience of early mobilization, rehabilitation and recovery after critical illness. BMJ Open 2019 Feb 24; 9(2): e026348.
  • 7. Pozuelo-Carrascosa DP, Torres-Costoso A, Alvarez-Bueno C, Cavero-Redondo I, López Muñoz P, Martínez-Vizcaíno V. Multimodality respiratory physiotherapy reduces mortality but may not prevent ventilator-associated pneumonia or reduce length of stay in the intensive care unit: a systematic review. J Physiother 2018; 64(4): 222–228.
  • 8. Gruszczyk D, Kaczorowska A, Katan A. Application of various physiotherapeutic methods in a conservative treatment of neurogenic scoliosis in a comatose patient – a case report. Med Sci Pulse 2017; 11(4): 46–53.
  • 9. Półtorak M, Tokarz M, Bilińska M, Biliński G, Ciesielski T, Fuchs M, et al. Wykorzystanie koncepcji Bobath w zwalczaniu spastyczności. Rehabil Prakt 2013; 2: 14–18. (In Polish).
  • 10. Arias-Fernández P, Romero-Martin M, Gómez-Salgado J, Fernández-García D. Rehabilitation and early mobilization in the critical patient: systematic review. J Phys Ther Sci 2018; 30(9): 1193–1201.
  • 11. Mandel SE, Davis BA, Secic M. Effects of music therapy and music-assisted relaxation and imagery on health-related outcomes in diabetes education: a feasibility study. Diabetes Educ 2013; 14: 37–41.
  • 12. Kalinowska AK, Kułak W. Wpływ muzyki na organizm ludzki. Fizjoterapia 2010; 18(4): 77–82. (In Polish).
  • 13. Bukowska A, Konieczna L. Neuromuzykoterapia w pracy muzykoterapeutów, fizjoterapeutów, logopedów i terapeutów zajęciowych. Wrocław: Wydawnictwo Akademii Muzycznej im. K. Lipińskiego; 2010. (In Polish).
  • 14. Tapson K, Sierotowicz W, Marks-Maran D, Thompson TM. ‘It’s the hearing that is last to go’: a case of traumatic head injury. Br J Nurs 2015; 24(5): 277–281.

Typ dokumentu

Bibliografia

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